ALLOGRAFT CONSENT (Check if applicable and if checked consent signature must be completed):
Use of donated bone or tissue products if applicable, has been explained to me and I understand that there are risks associated with implanting these types of products. These risks include reactions, infections such as hepatitis and AIDS. These risks, although extremely rare, can be serious ands possibly fatal. Alternatives to allograft use have been explained to me and include but are not limited to .
I CONSENT to use of donated bone/tissue if determined by my physician
I DO NOT CONSENT to use of donated bone/tissue
“ Socket Preservation”… ADA 7953 Int J Periodontics Restorative Dent. 2006 Feb;26(1):19-29. A study of the fate of the buccal wall of extraction sockets of teeth with prominent roots. Nevins M, Camelo M, De Paoli S, Friedland B, Schenk RK,
What do I use? Autogenous bone mixed with a resorbable alloplast ‘ Donor site morbidity’